Dietitian Duo

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DIETITIAN DUO

Practice address

25846 Royalton Rd
Columbia Station, OH 44028-9441

Phone

(440) 823-6380

NPI assigned

Apr 9, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Hershey, RDN, LDNPI 1255941506

Title

Registered Dietitian

Phone

(440) 823-6380

Specialties & licenses 1

Addresses

Other names 1

• Michael Hershey Nutrition Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Hershey, RD

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Columbia Station, OH
  • NPI 1255941506
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1891437901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BARBER AVE APT 4302",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134773",
            "telephone_number": "440-823-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25846 ROYALTON RD",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440289441",
            "telephone_number": "440-823-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIAN DUO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "HERSHEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "440-823-6380",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Hershey Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael Hershey Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbia Local School District
• Columbia Township
• Michele Costanzo
• Annamaria Deak
• Daniel Edward Decheek I
• Rosetta Difilippo-Arthurs, STNA
• Dolores Margaret Downey
• Rashad Evans
• Tameka Evans
• Lauren Hach-Wilkins

• Health Service Clinic/Center in Columbia Station, OH
• Providers in Columbia Station, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.